Individual
FREDERICK MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34 CLINTON ST, HOMER, NY 13077-1143
(607) 296-5974
Mailing address
34 CLINTON ST, HOMER, NY 13077-1143
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
1645468
NY
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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